Aesthetic NP Practice Authority
What an NP, PA, or RN entering aesthetic medicine in Indiana needs to know — sourced from the AANP State Practice Environment + the Indiana Board of Nursing.
Conditional. Indiana corporate-practice rules are less restrictive than physician-only states, so a licensed NP may form a professional entity — but a written collaborative agreement with a physician is required as a condition of prescribing.
A career-long written collaborative practice agreement with a physician is required (IC 25-23-1-19.4), defining how the NP and physician coordinate and consult on care. A 2025 bill to remove the requirement (HB1116) died in committee, so it remains in force.
A good-faith exam by a licensed prescriber (NP/MD/DO) is required before initial aesthetic medication administration. Telehealth GFE is permitted in most states subject to state-specific rules.
RNs may inject aesthetic medications (botulinum toxin, dermal fillers, fat-dissolving) under a valid prescriber order and approved protocol. Only PRESCRIBING requires a licensed NP/MD/DO. Verify with your board.
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